Xeron Clinical Laboratories Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

PFI 5884 Issued in NY

Legal business name

XERON CLINICAL LABORATORIES INC.

Practice address

629 Springfield Rd
Kenilworth, NJ 07033-1079

Phone

(212) 734-6621

Fax

(516) 430-5031

NPI assigned

May 3, 2007

Last updated

Nov 9, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Chaya Fisch

Title

Owner

Phone

(212) 734-6621

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Atlantic Diagnostic Laboratories, LLC.

  • Clinical Medical Laboratory
  • Bensalem, PA
  • NPI 1881841120

  Member Of

  NPD member

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1336361575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 36TH ST",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111011917",
            "telephone_number": "718-762-3310",
            "fax_number": "718-762-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 SPRINGFIELD RD",
            "city": "KENILWORTH",
            "state": "NJ",
            "postal_code": "070331079",
            "telephone_number": "212-734-6621",
            "fax_number": "516-430-5031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4825 36th St",
            "address_purpose": "LOCATION",
            "city": "Long Island City",
            "state": "NY",
            "postal_code": "111011917",
            "country_code": "US",
            "telephone_number": "718-762-3310",
            "fax_number": "718-762-3350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "XERON CLINICAL LABORATORIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "FISCH",
        "authorized_official_first_name": "CHAYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-734-6621"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "PFI 5884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Union County Nephrology Associates
• Laurie Wade, PHARMD
• Hetty Anne Waskin, M.D.
• William J Derkasch Cyrus G Dehkan PTRS (Derkasch & Dehkan DDS)
• Lixin Wu
• Michelle Sherri Zuckerman, PSY.D.

• Clinical Medical Laboratory in Kenilworth, NJ
• Providers in Kenilworth, NJ by specialty
• Clinical Medical Laboratory in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.